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Portomesenteric thrombosis after robotic sleeve gastrectomy
- Source :
- BMJ Case Rep
- Publication Year :
- 2022
-
Abstract
- Portomesenteric thrombosis is an important but rarely reported complication following bariatric surgery. It has been suggested that the incidence of portal vein thrombosis is directly related to many risk factors inherent in the bariatric population as well as factors related to local and systemic effects of laparoscopic surgery. Possible aetiologies vary from systemic inherited hypercoagulable states to a direct inflammatory reaction of portosystemic vessels. Here we present a case report of a 47-year-old obese women who underwent a robotic sleeve gastrectomy with subsequent development of a main portal vein, complete right intrahepatic portal vein and splenic vein thrombosis ultimately found to have a compound mutation of the methylenetetrahydrofolate reductase C677T and A1298C alleles.
- Subjects :
- Laparoscopic surgery
Sleeve gastrectomy
medicine.medical_specialty
Pyridones
medicine.medical_treatment
Population
Portal vein
Bariatric Surgery
030209 endocrinology & metabolism
Case Report
03 medical and health sciences
0302 clinical medicine
Mesenteric Veins
Postoperative Complications
Robotic Surgical Procedures
medicine
Humans
education
Venous Thrombosis
education.field_of_study
biology
business.industry
Heparin
Portal Vein
Anticoagulants
General Medicine
Middle Aged
medicine.disease
Thrombosis
Portal vein thrombosis
Surgery
Abdominal Pain
Obesity, Morbid
Methylenetetrahydrofolate reductase
biology.protein
Pyrazoles
030211 gastroenterology & hepatology
Female
Complication
business
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 13
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....e09463d6a974fb0d1fccee653cef47ec